<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html>
    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
        <title>Tambah Data Pengguna</title>

        <link href="<?php echo base_url('assets/css/tambah.css') ?>" type="text/css" rel="stylesheet" />
        </head>

    <body>
        <form action="<?php echo base_url('admin/pengguna/tambah'); ?>" method="post">
            <table width="425" border="0" align="center">
                <tr>
                    <td colspan="5" class="trheader"><strong>Tambah Data Pengguna</strong></td>
                </tr>
                <tr>
                    <td colspan="6" class="jeda">&nbsp;</td>
                </tr>
                <tr>
                    <td>Nama*</td>
                    <td colspan="5"><input type="text" name="nama" id="nama" class="textinput" placeholder="Nama Lengkap"/></td>
                </tr>
                <tr>
                    <td>Alamat</td>
                    <td colspan="5"><input type="text" name="alamat" id="alamat" class="textinput" placeholder="Dusun"/></td>
                </tr>
                <tr>
                    <td>Nomor Telepon</td>
                    <td colspan="5"><input type="text" name="no_telp" id="no_telp" class="textinput" placeholder="Nomor Telepon"/></td>
                </tr>
                <tr>
                    <td width="158">Masukkan Username*</td>
                    <td colspan="5"><input type="text" name="usernm" id="usernm" class="textinput" placeholder=""/></td>
                </tr>
                <tr>
                    <td>Masukkan Password*</td>
                    <td colspan="5"><input type="password" name="passwd" id="passwd" class="textinput" placeholder=""/></td>
                </tr>
                <tr>
                    <td>Level*</td>
                    <td colspan="5">
                        <select name="level" class="list" id="level">
                            <option selected="selected" value="admin">Admin</option>
                            <option value="kaur">Kaur</option>
                            <option value="kades">Kepala Desa</option>
                        </select></td>
                </tr>
                <tr>
                    <td colspan="4">*)harus diisi</td>
                </tr>
                <tr>
                    <td colspan="3"><div align="right">
                            <input type="submit" name="tambah" id="tambah" value="Tambah" class="radiobutton-kiri"/>
                        </div></td>
                    <td width="167"><input type="reset" name="bersih" id="bersih" value="Bersihkan" class="radiobutton-kiri" /></td>
                </tr>
            </table>
    </form>
    </body>
</html>